margaret fahy
Guru
Hi Guys,
What about these angiographies? Very unclear on leg angiographies..can someone help me?
PROCEDURE: The skin of the right groin as well as right leg and
foot was prepped and draped in sterile fashion. Using US guidance
a 21 gauge needle was inserted in the right superficial femoral
artery in antegrade approach. Once arterial blood return was
obtained a .018" Nitrex wire was placed into the artery and
advanced to the common femoral artery retrograde. The needle was
removed and replaced with a 4 French micropuncture sheath/dilator
set. The wire was sized up to a 0.035" Newton wire, and a 5
French vascular sheath was placed into the artery. Via the
arterial sheath a 5 French Berenstein catheter was advanced into
the left common iliac artery, contrast was injected and DSA
angiogram was obtained. The left internal iliac artery was
selected with the Berenstein catheter, contrast was injected and
a DSA angiogram was obtained. The left external iliac artery was
selected, contrast was injected and a DSA angiogram was obtained.
The left inferior epigastric artery was selected with a Low Flow
Renegade catheter over an 0.016" Fathom wire. Contrast was
injected and a DSA angiogram was obtained in the left inferior
epigastric artery. The Fathom wire and Marathon catheter were
removed. The Berenstein catheter was removed over a 0.035" wire
and the sheath was removed while holding manual pressure at the
puncture site. There were no complications, and the patient
left the IR suite in stable condition. Dr. l was present
for the entire procedure.
FINDINGS:
1. Successful ultrasound guided puncture of the right common
femoral artery and placement of a retrograde 5 French sheath.
2. The left common iliac artery was patent and normal in caliber.
The branching pattern of the left internal and external iliac
arteries was normal with no evidence of contrast extravasation.
Tumor angiogenesis was evident overlying the left ilium. Normal
venous drainage was visualized near the end of the initial run.
3. The left internal iliac artery was patent and normal in
caliber. The branching pattern of the left internal iliac artery
was within normal limits with normal anterior and posterior
divisions. Again, tumor angiogenesis was visualized during the
arterial phase arising from the anterior division of the internal
iliac artery overlying the left ilium and superior acetabulum
There was no evidence of active extravasation. Normal venous
drainage was visualized late in the run.
4. The left external iliac artery was patent and normal in
caliber. The branching pattern of the left external iliac artery
was normal. There was no active extravasation. Normal venous
drainage was present.
5. The left inferior epigastric artery was patent and normal in
course and caliber. There was no evidence of contrast
extravasation.
What about these angiographies? Very unclear on leg angiographies..can someone help me?
PROCEDURE: The skin of the right groin as well as right leg and
foot was prepped and draped in sterile fashion. Using US guidance
a 21 gauge needle was inserted in the right superficial femoral
artery in antegrade approach. Once arterial blood return was
obtained a .018" Nitrex wire was placed into the artery and
advanced to the common femoral artery retrograde. The needle was
removed and replaced with a 4 French micropuncture sheath/dilator
set. The wire was sized up to a 0.035" Newton wire, and a 5
French vascular sheath was placed into the artery. Via the
arterial sheath a 5 French Berenstein catheter was advanced into
the left common iliac artery, contrast was injected and DSA
angiogram was obtained. The left internal iliac artery was
selected with the Berenstein catheter, contrast was injected and
a DSA angiogram was obtained. The left external iliac artery was
selected, contrast was injected and a DSA angiogram was obtained.
The left inferior epigastric artery was selected with a Low Flow
Renegade catheter over an 0.016" Fathom wire. Contrast was
injected and a DSA angiogram was obtained in the left inferior
epigastric artery. The Fathom wire and Marathon catheter were
removed. The Berenstein catheter was removed over a 0.035" wire
and the sheath was removed while holding manual pressure at the
puncture site. There were no complications, and the patient
left the IR suite in stable condition. Dr. l was present
for the entire procedure.
FINDINGS:
1. Successful ultrasound guided puncture of the right common
femoral artery and placement of a retrograde 5 French sheath.
2. The left common iliac artery was patent and normal in caliber.
The branching pattern of the left internal and external iliac
arteries was normal with no evidence of contrast extravasation.
Tumor angiogenesis was evident overlying the left ilium. Normal
venous drainage was visualized near the end of the initial run.
3. The left internal iliac artery was patent and normal in
caliber. The branching pattern of the left internal iliac artery
was within normal limits with normal anterior and posterior
divisions. Again, tumor angiogenesis was visualized during the
arterial phase arising from the anterior division of the internal
iliac artery overlying the left ilium and superior acetabulum
There was no evidence of active extravasation. Normal venous
drainage was visualized late in the run.
4. The left external iliac artery was patent and normal in
caliber. The branching pattern of the left external iliac artery
was normal. There was no active extravasation. Normal venous
drainage was present.
5. The left inferior epigastric artery was patent and normal in
course and caliber. There was no evidence of contrast
extravasation.